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San Joaquin County Environmental Health Department <br /> DATE /1 } / (� MASTER FILE RECORD INFORMATION "MFR" GREENFORM <br /> SITE MITIGATION & LOP <br /> Wf 1' UNIT IV <br /> C <br /> $ori oASwssAs roe ENDUEOIy onREAros eAeE� 00 1 <br /> Gl 1E b <br /> OYMl RMsCOMPLETEnfEAmLOWJNO PROPERTY OWNER Awmmmw Gw4wa,OWNER cuY.seNnYeRaY.Eaany EMD® <br /> FAasEan owraet HAaE (20P-483-2026 / <br /> —_—__—. —T FY+r Aa r.. PIIoeE Nl�ear - - t/ <br /> St John's Episcopal ChurchA°01EJ <br /> Owrrer Howe Addrefs 316 North El Dorado Street <br /> CRY Stockton auAnsCA 95202 <br /> Owns Mfarq Address —...— <br /> Malang Address City Stay >7P <br /> L _ y <br /> r.ORPOIUTgMIO IXOMWALD PYDMeRYRIID FEDADENCrD oniEx(] <br /> SIT!MRIBAnON_ENYIROHYlaRAL AasEssrETrr__.,VOLUNTARY CLEANUP_WATSR QuAtITY__HW PIPELINE INv[: "nom_ LOPXX <br /> Fwaun lDf `N. AawuNT ID PRNROf gM " � �tj_'._R1� <br /> -70-78 rL RL : 1 <br /> FACILtTYFlLE Cowltm7NEFouo►nNCBUSINESS/FACILITY ISITE INFoRMAnow <br /> Is this a NEW Business;LocATm not prevlwWy regulated by the ENVIRONMENTAL HEALTH DEPARTMENT? Yrs D No ®Y. <br /> Is this an EXISTING Business LocATro"but a NEW TYPE of regulated Business? Yes D No]O( <br /> �10M1E1°'E'"arnY "^°'E St John EpRIcopal Church - 316 North El Dorado Street <br /> 6rrEAomr.. 135 East Miner Avenue (CANCUN RESTUANT) 9YREf auYwae <br /> 4666-6- <br /> 5311 <br /> cn Stockton BTwTeCA nP 95202 <br /> BONNOFBUrEAvsoR Dump Lp:AiwN CooE RErt REY2 <br /> Mailing Address NDIFFERERFAwn Fe WfyAW sa Attention:arCare 0(opt/onaQ i <br /> Msleng Address City —_— STATE LP <br /> SIC Cccw APNi CoreEen: _— — <br /> Twob PARTY M 4me LNFo: Complete if Billing Party is diAerent from Property Owner or Fall IIHy Operator/dentifiedabove. <br /> euawEss NUE Attention:orCa a Or(upRolae9 <br /> Mailing Address <br /> Cm STATE LP <br /> Ac1CQYe/IAQgEw for fees and charges OWNER FAcll 1 /BusiNEss THRo PARTY&LLS/(' <br /> eft!rrce Mye rONNJAMC2 AC[vM�rM a�ri: 1,de aMtnlpnJ Appacsp,aNfT dui l am Ne Owncr,UFrvlw.or AulMriW Arent of dir amiem,sed I aclmonkdg loaf all Peaw/r F6as, <br /> s'Enunca.F_vrzwmM Cor�veeeaMlw Nr:ur Stares:J.aaaclated xiNmaoPrratla Mn"Is 1,a <br /> Waf Jre aJccn Wlcr wi abovea lhe.lt[v_vn>An^^Gc(maWaaih. laao cear rlarae <br /> bfvmadm pmMm m tNa apptlndw la nur aodm.aaar,sed dor W reENsrm actmm�xYl 4e Prafonrvd U arrmalavrr..int all a ote Swrc loaDrrrc f"mnrn(Nninaerr CaGa aetlbr ' <br /> Cramama am SY+tr antl.'w ttorwu I.awa ad RKdaeem. ora Mr eedenlped eaeeer�openrm,m araM d M prapraay Nraad at tat falat)nla adtlrraa.l Neexey aaadvia the Messr ar <br /> ay ant su rnaw ant emtr�anaal aa.raaeaeU imarmarinn W SAN JOAOLIN COUNTY Lll'IRIXiMENTAL HEALTH OFlAA w mon w u Ir avdlatrk antl N tlx same dma 11 is 'i <br /> Paa Lkd W vn w n7 reprearwatiK. 'i <br /> APPLICANT NAME(PuExEEPssal) MICHAEL GRIFFIN Ba�AnwE <br /> TITLE AGENT TAx IDC <br /> APVeeed fils N.,,,f:om,W.E By <br /> ane lYiwwTRw AMaeyr PA.o DATEo PArrEarr PwvrrEwr TYPE RECEInrY <br /> 1 CNECRY REDErv[D ay NfozzetPUNF <br /> nf:3 <br />